Gasser P
Department of Internal Medicine, St. Claraspital, Basel, Switzerland.
Wien Klin Wochenschr. 1991;103(8):217-21.
Vasospasm implies reversible vasoconstriction that may diminish blood flow to the perfused tissues followed by an ischaemia of varying severity. The exact pathophysiology of the condition remains unknown to this day. Vasospasms are not only present in Raynaud's disease, migraine, Prinzmetal's variant angina, visual field defects and partially in low-tension glaucoma, but may also be involved in the pathogenesis of Crohn's disease. Vasospastic diseases may result from more than one mechanism. It is difficult to determine which of the underlying abnormalities is the most important in vasospastic syndromes of different vascular beds.
血管痉挛意味着可逆性血管收缩,这可能会减少流向灌注组织的血流量,继而引发不同严重程度的缺血。时至今日,该病的确切病理生理学仍不明确。血管痉挛不仅存在于雷诺氏病、偏头痛、变异型心绞痛、视野缺损以及部分低眼压性青光眼中,还可能参与克罗恩病的发病机制。血管痉挛性疾病可能由多种机制引起。在不同血管床的血管痉挛综合征中,很难确定哪种潜在异常最为重要。